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1174652754
RICHARD MARK BURKHOLDER
PHILADELPHIA, PA
NPI
1174652754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT000239A)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Mr. RICHARD MARK BURKHOLDER ATC
1 NOVACARE WAY
PHILADELPHIA, PA 19145-5900
Phone number: 215-339-5493
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Mailing Address
Mr. RICHARD MARK BURKHOLDER ATC
16 GRAYPEBBLE CIR
SICKLERVILLE, NJ 08081-1666
Phone number: 856-740-0031
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